Ahva Care Of Winfield

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

46.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 40 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 13.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 43 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.20 therapist hours per resident per day in 2026Q1 — more than 22% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 24% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 138 beds and averages 128.4 residents a day — about 93% occupied, or roughly 10 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.77 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.66 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.70 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.47 hrs/resident/day on weekends vs 2.89 on weekdays — 15% thinner on weekends. RN hours go from 0.74 to 0.46 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

• Potential for harm · E2026-05-14 · tag F0628 — pattern
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide residents and/or their POA (Power of Attorney) with a bed hold notice and written documentation for the reason of transfer to the hospital.This applies to 5 of 5 residents (R1, R2, R10, R129, R138) reviewed for transfers in a sample of 30.The findings include: 1.R1's progress note dated 1/23/26 at 4:56 PM shows: NOD (Nurse on Duty) noted a change in mental status of resident during her neuro checks. (R1) appeared confused and verbalized feeling nervous. Although (R1) remained alert and orientated x 4, (R1) appeared not at her baseline behavior. Vitals shown an elevated blood pressure from baseline of BP (Blood Pressure) 158/89 and respiratory rate increased to 28 breaths per minute from baseline. Oxygen saturation rate of 98%, Temperature—98.4 F (Fahrenheit), Heart Rate—104.medical doctor notified and orders to send to ER (Emergency Room) for evaluation. Orders carried out 911 was called for ambulance. ADON (Assistant Director of Nursing), DON…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-14 · tag F0809 — failed to serve meals on a reasonable schedule — pattern
  Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to offer and provide snacks to residents at bedtime.This applies to 5 of 5 residents (R25, R65, R82, R94, R100) reviewed for bedtime snacks in a sample of 30.The findings include:R25's face sheet documents admission date of 12/28/25. Diagnoses include bipolar disorder, schizoaffective disorder, anxiety disorder, chronic obstructive pulmonary disease, hyperlipidemia, Schizophrenia, hypertension, and peripheral vascular disease. MDS (Minimum Data Sheet) dated 4/20/26 documents he has intact cognitive functions. R65's face sheet documents admission date of 9/25/23. Diagnoses include major depressive disorder, schizoaffective disorder, psychosis, hypertension and chronic kidney disease, stage II. MDS dated [DATE] documents she has intact cognitive functions. R82's face sheet documents admission date of 11/14/24. Diagnoses include chronic kidney disease, hypothyroidism, anxiety disorder, polyneuropathy, osteoarthritis, bipolar disorder, hypertension, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-14 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to provide a comfortable water temperature in the shower. This applies to 1 resident (R82) reviewed for homelike environment in a sample of 30 residents.The findings include:On 5/13/26 at 10:07 AM, R82 said the shower in the hallway that she likes to use does not have hot water. R82 said she has mentioned it in past resident council meetings, but it has yet to be fixed. On 5/14/26 at 12:06 PM, R82 said the shower temperature has been cold for over a year. R82 said she prefers to take showers in that shower room because it is more private, but it is uncomfortable and she can't sit under the water long to enjoy it, so she tries to get in and out quickly. On 5/14/26 at 10:49 AM, V10 (Maintenance Director) said R82 told him the water was not getting hot enough in the shower, but he checked the temperature and it was okay. V10 said hot water temperatures should range between 100-110 degrees F (Fahrenheit). On 5/14/26 at 10:52 AM, V10 checked shower temperature and let the water run for 6 minutes to see how hot it…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-14 · tag F0679 — failed to provide activities — isolated
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to offer and assist resident to participate in activities of her interest and preference.This applies to 1 of 1 residents R109 reviewed for activities in a sample of 30.Findings include:05/14/2026 at 1:53 PM, R109 stated it makes her angry not being able to participate in activities. R109 stated she likes music, trivia and would like to exercise but staff is too busy to assist her. R109 stated she can't participate in activities like bingo the staff offers to her because she is blind. R109 stated she doesn't always know what activities are available because no one reads the activity schedule to her. R109 stated there was a previous activity that staff left her in the activity area after the activity was over. R109 stated a housekeeper heard her scream and assisted her back to her room.05/13/2026 at 3:21 PM. V14 RN (Registered Nurse) stated R109 is mostly in her room sleeping.On 05/14/2026 at 11:08 AM, V9 Activities Director stated R109 likes music related activities and going outside. V9 stated activities staff see R109 every…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-14 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to properly store medications for residents who were not assessed to keep medications at bedside.This applies to 3 of 3 residents (R31, R43, R97) reviewed for medication storage in a sample of 30.The findings include: 1. On 05/12/26 at 9:55 AM, R31 had an Anoro Ellipta 62.5 mcg/25 mcg (Micrograms) on his bedside table. On 05/13/26 10:46 AM, R31 was sitting at the bedside and said he had emphysema, which he used an inhaler to treat. R31 opened his top drawer and pulled out the Anoro Ellipta inhaler. R31 said he got the inhaler from the nurse and would administer it by himself. R31's face sheet showed he was admitted to the facility with diagnoses including dementia, schizoaffective disorder, bipolar disorder, depression, epilepsy, cocaine abuse, delusional disorders, and chronic bronchitis. R31's MDS (Minimum Data Set) dated 04/14/26 showed R31 had mild cognitive impairment. R31's POS (Physician Order Sheet) did not show an order for R31 to store medications at the bedside. R31's Care Plan did not show any care…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-14 · tag F0810 — isolated
  Provide special eating equipment and utensils for residents who need them and appropriate assistance.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation interview and record review the facility failed to provide built up eating utensils to support a residents independent eating.This applies to 1 or 1 residents R3 reviewed for meal assistive devices in a sample of 30.Findings include:On 05/12/2026 at 12:09 PM, during the meal observation R3 struggled to feed herself by dropping her food on her chest. R3 stated she was having a hard time handling her spoon to feed herself. R3's meal ticket list built up utensils for all meals.On 05/13/2026 at 12:18 PM, V8 CNA. (Certified Nursing Assistant) stated the meal trays are for the residents are set up by the CNAs. The CNA that prepares the meal tray and the CNA that delivers the tray to the resident are responsible to assure the tray s correct. If the resident does not have the utensils they need, they will struggle to eat their meal.On 05/13/2026 at 4:15 PM, V2 DON (Director of Nursing) stated residents are assessed by speech or occupational therapy for built up utensils. Residents are not able to eat independently if they don't have utensils when they are eating. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-01 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to protect residents' right to be free from physical abuse by another resident. This applies to 2 of 3 residents (R1, R2) reviewed for resident-to-resident abuse in the sample of 3. The findings include: 1. On June 30, 2025, at 1:10 PM, R1 was lying in bed in her room. R1 refused to discuss the altercation between R1 and R2 that occurred on June 7, 2025. The EMR (Electronic Medical Record) shows R1 was admitted to the facility on [DATE]. R1 has multiple diagnoses including, polyneuropathy, delusional disorders, hallucinations, schizoaffective disorder, bipolar disorder, asthma, heart failure, major depressive disorder, cognitive communication deficit, paranoid personality disorder, and psychosis. R1's MDS (Minimum Data Set) dated June 23, 2025, shows R1 is cognitively intact, requires partial/moderate assistance with eating and oral hygiene, and substantial/maximal assistance with all other ADLs (Activities of Daily Living). R1 is frequently incontinent…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-02-21 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents were provided with a clean and comfortable room. This applies to 4 out of 4 residents (R7, R117, R127, R130) reviewed for environment from a total sample of 30. Findings include: 1. On 2/18/25 at 11:35AM R127 was in bed covered with two comforters. R127's MDS (Minimum Data Set) assessment of 12/13/2024 defines R127 as cognitively intact. R127 stated her room was always cold. R127's face-sheet shows R127 was an 80 y/o female admitted to the facility on [DATE] with diagnoses to include Schizoaffective Disorder, Hypertension, Chronic Obstructive Pulmonary Disease and Protein-Calorie Malnutrition. 2. On 2/18/25 at 11:38AAM R117 was observed in bed covered with a comforter. R117 stated her room was very cold, and it was always cold. R117 stated that she is comfortable under her blanket. R117's face-sheet showed R117 is admitted to the facility on [DATE] with diagnoses to include Schizoaffective Disorder, Depression,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-02-21 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to dispose of controlled medications accordingly and have as-needed medication available for administration upon resident request. This applies to 5 out of 5 (R103, R65, R26, R10, and R73) residents reviewed for medication storage and pharmacy services in a sample of 30. The findings include: 1. On 2/18/2025 at 12:55 PM, the medication storage task was done with V15 (Registered Nurse/RN) on the second floor. R10's Ativan 0.5 mg (milligrams) medication bottle containing 20 tablets was in the medication room's refrigerator. R10's Ativan Controlled Substances Proof of Use record sheet was wrapped around the medication (not in the unit's narcotic control counting log binder). V15 said the medication did not require refrigeration and was unsure why it was stored in the refrigerator. V15 also said the record sheet had to be in the narcotic control binder to ensure the medication was being accounted for. V15 then gave R10's medication and record…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-21 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to maintain the call light within access for one resident. This applies to 1 resident (R130) reviewed for accommodation of needs in a sample of 30. Findings include: On 2/18/25 at 1:13 PM, R130 was observed sitting on the side of his bed with his pants half falling off his hips and his brief sticking out of his pants. R130s call button was noted to be draped over the side of his wheelchair and out of R130's reach. R130 stated, how am I supposed to get this without falling down. R130 added that the nurse had been in the room to give him medications and did not give him the call button. R130 stated that 75% of the time the staff does not give him the call button. R130 also stated that he fell on February 12, 2025 because his button was not in reach and he was reaching for it. R130's MDS (Minimum Data Set) dated 1/13/25 shows his cognition is intact and R130 needs substantial/maximal assistance for personal hygiene. R130's care plan dated 1/7/2025 documents that R130 is at risk for falls and interventions include…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 13 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 91% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $3.0M paid to related parties — landlords or management companies under common ownership — equal to about 23% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IL